Desarrollo de la línea de Bioinstrumentación, señales e imágenes médicas en el programa de Ingeniería Biomédica de la EIA-CES

El programa de Ingeniería Biomédica de la Escuela de Ingeniería de Antioquia y la Universidad CES, cuenta con cuatro líneas de investigación definidas: Biomecánica e Ingeniería en Rehabilitación, Biotecnología en Salud y Biomateriales, Ingeniería Clínica y Bioinstrumentación, Señales e Imágenes Médicas. Ésta última está compuesta por las ramas de Bioinstrumentación y Procesamiento de Señales e Imágenes. La Bioinstrumentación se encarga de emplear elementos propios de la electrónica y la instrumentación para el diseño e implementación de sistemas con el fin de medir variables fisiológicas o biológicas en relación con el cuerpo humano. Una vez adquiridas esas señales se realiza un acondicionamiento de éstas ya sea por medios analógicos o digitales con el fin de encontrar patrones relevantes que contribuyan a un mejor diagnóstico y tratamiento de enfermedades y por ende a la elección de un mejor tratamiento por parte del personal médico de las instituciones prestadoras de servicios de salud

IFNγ Response to Mycobacterium tuberculosis, Risk of Infection and Disease in Household Contacts of Tuberculosis Patients in Colombia

OBJECTIVES: Household contacts (HHCs) of pulmonary tuberculosis patients are at high risk of Mycobacterium tuberculosis infection and early disease development. Identification of individuals at risk of tuberculosis disease is a desirable goal for tuberculosis control. Interferon-gamma release assays (IGRAs) using specific M. tuberculosis antigens provide an alternative to tuberculin skin testing (TST) for infection detection. Additionally, the levels of IFNgamma produced in response to these antigens may have prognostic value. We estimated the prevalence of M. tuberculosis infection by IGRA and TST in HHCs and their source population (SP), and assessed whether IFNgamma levels in HHCs correlate with tuberculosis development. METHODS: A cohort of 2060 HHCs was followed for 2-3 years after exposure to a tuberculosis case. Besides TST, IFNgamma responses to mycobacterial antigens: CFP, CFP-10, HspX and Ag85A were assessed in 7-days whole blood cultures and compared to 766 individuals from the SP in Medellín, Colombia. Isoniazid prophylaxis was not offered to child contacts because Colombian tuberculosis regulations consider it only in children under 5 years, TST positive without BCG vaccination. RESULTS: Using TST 65.9% of HHCs and 42.7% subjects from the SP were positive (OR 2.60, p<0.0001). IFNgamma response to CFP-10, a biomarker of M. tuberculosis infection, tested positive in 66.3% HHCs and 24.3% from the SP (OR = 6.07, p<0.0001). Tuberculosis incidence rate was 7.0/1000 person years. Children <5 years accounted for 21.6% of incident cases. No significant difference was found between positive and negative IFNgamma responders to CFP-10 (HR 1.82 95% CI 0.79-4.20 p = 0.16). However, a significant trend for tuberculosis development amongst high HHC IFNgamma producers was observed (trend Log rank p = 0.007). DISCUSSION: CFP-10-induced IFNgamma production is useful to establish tuberculosis infection prevalence amongst HHC and identify those at highest risk of disease. The high tuberculosis incidence amongst children supports administration of chemoprophylaxis to child contacts regardless of BCG vaccination

Identificación y caracterización de grupos biológicos (comunidades hidrobiológicas, macroinvertebrados, plantas acuáticas, peces, anfibios, plantas terrestres, reptiles, aves y mamíferos), en el complejo ventana piloto de humedales de Paz de Ariporo-Hato Corozal

Este documento es resultado de la ejecución del Contrato 14-13-014-237PS entre el Instituto Humboldt y la Fundación Omacha, firmado en el marco del Convenio 005 (13-014) entre el Instituto Humboldt y el Fondo Adaptación. Contiene la propuesta para la identificación del límite funcional de la ventana piloto de humedales Paz de Ariporo-Hato Corozal, donde se estudiaron en los principales tipos de humedales naturales asociados a las cuencas de los ríos Ariporo y Chire (caños, cañadas, bosques de rebalse, matorrales inundables y cuerpos lénticos como esteros, lagunas de rebalse, bajos y madreviejas) la composición, estructura y uso del hábitat de los grupos biológicos asociados, tanto a los cuerpos de aguas como en las zonas transicionales acuático terrestres.BogotáSubdirección de Servicios Científicos y Proyectos Especiale

Caracterización del uso de los recursos hidrobiológicos y pesqueros, carne de monte, productos maderables y no maderables en el complejo ventana piloto de humedales Paz de Ariporo-Hato Corozal

Este documento es resultado de la ejecución del Contrato 14-13-014-237PS entre el Instituto Humboldt y la Fundación Omacha, firmado en el marco del Convenio 005 (13-014) entre el Instituto Humboldt y el Fondo Adaptación. Contiene la caracterización del uso de los recursos hidrobiológicos y pesqueros, carne de monte, productos maderables y no maderables en el Complejo de Humedales de Paz de Ariporo-Hato Corozal.BogotáSubdirección de Servicios Científicos y Proyectos Especiale

Identificación de amenazas presentes y potenciales para la conservación de hábitats y especies en el complejo ventana piloto de humedales Paz de Ariporo- Hato Corozal

Este documento es resultado de la ejecución del Contrato 14-13-014-237PS entre el Instituto Humboldt y la Fundación Omacha, firmado en el marco del Convenio 005 (13-014) entre el Instituto Humboldt y el Fondo Adaptación. Contiene la identificación de amenazas presentes y potenciales para la conservación de hábitats y especies en el complejo ventana piloto de humedales de Paz de Ariporo- Hato Corozal.BogotáSubdirección de Servicios Científicos y Proyectos Especiale

Global economic burden of unmet surgical need for appendicitis

Background: There is a substantial gap in provision of adequate surgical care in many low-and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods: Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results: Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion: For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Zonificación, identificación de áreas de interés para la conservación y propuesta de criterios para el establecimiento de límites funcionales en el complejo ventana piloto de humedales Paz de Ariporo- Hato Corozal.

Este documento es resultado de la ejecución del Contrato 14-13-014-237PS entre el Instituto Humboldt y la Fundación Omacha, firmado en el marco del Convenio 005 (13-014) entre el Instituto Humboldt y el Fondo Adaptación. Contiene la propuesta para la identificación del límite funcional de la ventana piloto de humedales Paz de Ariporo- Hato Corozal, el cual consistió en un ejercicio de zonación de los humedales, identificación de los hábitos de crecimiento y alimentarios, como también en la descripción de otros procesos ecológicos que interactuaban con el paisaje de acuerdo con el gradiente transicional, desde el cuerpo de agua hasta tierra firme.BogotáSubdirección de Servicios Científicos y Proyectos Especiale

Biased-corrected richness estimates for the Amazonian tree flora

Amazonian forests are extraordinarily diverse, but the estimated species richness is very much debated. Here, we apply an ensemble of parametric estimators and a novel technique that includes conspecific spatial aggregation to an extended database of forest plots with up-to-date taxonomy. We show that the species abundance distribution of Amazonia is best approximated by a logseries with aggregated individuals, where aggregation increases with rarity. By averaging several methods to estimate total richness, we confirm that over 15,000 tree species are expected to occur in Amazonia. We also show that using ten times the number of plots would result in an increase to just ~50% of those 15,000 estimated species. To get a more complete sample of all tree species, rigorous field campaigns may be needed but the number of trees in Amazonia will remain an estimate for years to come

CMS physics technical design report : Addendum on high density QCD with heavy ions

Peer reviewe

Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe